CMS Price Transparency Data

Breast lump removal

Facility: Blount Memorial Hospital

Billing Code: 19120 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$3,228

about 0.8× the $4,000 Medicare rate · typically $1,682–$3,806

modeled estimate · not a bill or quote

What this hospital charges insurers

$2,944

About the fair price

about $284 under the fair price · 0.7× Medicare

Medicare pays $4,000 Fair price $3,228 This hospital $2,944 Cash price $3,391 Hospital's list price $10,939

How we calculate the fair BaseRate →

How this hospital compares to other TN hospitals

Highest price of the 9 TN hospitals we have prices for — worth calling around.

Cheapest $502 Priciest $2,944

Black dot = this hospital, among the 9 TN hospitals with a price for this procedure. Full list below.

A fair price for a Breast lump removal is about $3,228 (about 0.8× the $4,000 Medicare rate). Blount Memorial Hospital charges insurers about $2,944, or about $3,391 in cash — about the fair price. Located in Maryville, TN.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Aetna✓ Cigna Blue Cross Blue ShieldHumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$1,091 - $4,376	27%
Aetnamajor	$9,845	246%
Cignamajor	$1,104 - $4,989	28%
MVP Health Care	$4,989	125%
+ 12 smaller / regional plans	$2,538 - $10,173

Government programs also on file: Medicaid.

Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 3,391), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 19120.

Insurance Before you use insurance

Call your insurance company to confirm Blount Memorial Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 19120.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Blount Memorial Hospital

Compare: Breast lump removal at other TN hospitals

Williamson Medical Center · Franklin $502
Erlanger Medical Center · Chattanooga $751
University Health System, Inc · Knoxville $819
Dekalb Community Hospital · Smithville $1,509
Saint Thomas Highlands Hospital · Sparta $1,509
Stones River Hospital · Woodbury $1,535
Saint Thomas Hickman Hospital · Centerville $1,535
Saint Thomas Rutherford Hospital · Murfreesboro $1,706

Insurance negotiated median for the same procedure, sorted lowest first.